Registration for Survivors of the Fallen Event          5 June  10 AM at Patriots Point
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Email *
Last Name *
First Name *
Street Address *
City *
State *
Zip Code *
Cell Phone
Home Phone
Conflict or Era *
Required
Branch of Service *
Required
Did your loved one *
Relationship to Deceased *
Number attending ceremony *
The following section is for survivors of Vietnam Veterans whose name is on The Wall in Washington, DC
If your family member's name is on the Wall in Washington, DC you will be given a special package at the event from General Livingston with instructions how to request a special "In Memory Of" pin and certificate hand signed by Army Gen. Mark A. Milley, Chairman, Joint Chiefs of Staff.  Confirmed names are here:   https://www.virtualwall.org/
For Vietnam Families only: Is your deceased family member's name on The Wall in Washington DC.  Confirmed names here: https://www.virtualwall.org/
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FOR KIA widows only: Please list the names of any attending immediate, nuclear family here.
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Contact for more information
Mary Regner, Patriots Point Foundation
703-655-5147     maryregner@gmail.com
If you wish to donate to help support this event:
You may donate ONLINE  at https://patriotspointfoundation.org/#donate

or MAIL check directly to:
Patriots Point Foundation
PO Box 309
Mount Pleasant,  SC  29465

Please enter "Survivors of the Fallen" in Memo area


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